Provider Demographics
NPI:1164285052
Name:BOFFA, SARAH FRANCES (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FRANCES
Last Name:BOFFA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3435
Mailing Address - Country:US
Mailing Address - Phone:970-488-7893
Mailing Address - Fax:
Practice Address - Street 1:4201 SENECA ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3435
Practice Address - Country:US
Practice Address - Phone:970-488-7893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24394227235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist